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What type of project are you considering? *

• Custom Home
• Remodeling
• Aging-In-Place
• Accessible Design & Universal Design

Please select the type of remodeling

• Whole Home Remodeling
• Highrise Remodeling
• Home Addition
• Kitchen Remodeling
• Bathroom Remodeling
• Walk-In Closet Remodeling

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Approximatley how many square feet is thw working space? *

How large Is your Kitchen? *

• Small
• Average
• large

How large Is your bathroom? *

• Small
• Average
• large

How large Is your closet? *

• Small
• Average
• large

Does any healthcare professional giving you ideas for the construction project?YesNO

If Yes, Please provide the name and contact information: *

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What item/items you or the person that service is for, have difficulty with? *

• Vision
• Ability to hear
• Sense of feeling in arms or legs
• Use hands
• Strength
• Balance
• Use of neck
• Ability to bend, reach and stretch
• Coordination
• Walking or climbing steps
• Cognitive
• Endurance
• Breath capacity
• Ability to dress and undress
• Other

If other, Please explain *

Are you stronger Sometimes than other times? *YesNo

Would you prefer to sit while working or showering? *YesNo

Is one side stronger than the other?can you use your hand equally? how about your arms? *YesNo

How high and low can you reach? *

Do you have Architectural plans for your project?

• Yes
• No
• I want to hire TBR construction for design

File Upload *

Click or drag files to this area to upload. You can upload up to 10 files.

Does the work include removing or relocating any interior partition? *

• Yes
• No
• Not sure

Does the work include relocating any Plumbing Fixture? *

• Yes
• No
• Not sure

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Is there any thing you cannot reach that you would like to? *

What amount of weight can you lift?(Test this with a can of food or a pot from the kitchen) *

Are there caregivers who help you somethimes?With whta do they help?Do they have any difficulty? *

Do you use any assertive equipment?YesNo

If yes, will we need to plan for its storage or rcharging? *

Do you have any safety concern that you would like to consider in your future project? *YesNo

If yes, Please provide more detail. *

What do you wish you could do that you cannot do now? What are your priorities? *

Are you usually home all day long and are there times when you will need to be using the space we are working on? *

have you ever fallen? Where and what were you doing at the time? *

What other type of work need to be done in the closet?

• Demo
• Electrical
• Sheetrock work, Tape & float
• Flooring

What other type of work need to be done in the work area?

• Demo
• Electrical
• Plumbing
• Sheetrock work, Tape & float
• Backsplash
• Counter top
• Flooring

What is the foundation type? *

• Concrete slab foundation
• Slab-on-grade with stem wall
• Pier and beam

What is the exterior finish? *

• Siding
• Brick
• Stone
• Stucco
• Mix

What is the roof type? *

• Asphalt Shingles
• Metal Roof Systems
• Clay Tile
• Other

Does new space or existing space need new Air Conditioning unit? *

• Yes
• No
• Not sure

Please select what features would like to use in your closet? *

• Adjustable shelves
• Valet rod
• Island with drawer
• Jewelry closet
• Adjustable shoe shelves
• Adjustable hanging rod
• Pull-Down System

What option you consider to have in new space?

• New bedroom
• New bathroom
• New entertainment area
• Living area
• Other

Do you consider to have custom cabinetry? *

• Yes
• No

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When would like to start your project?

Have you set any budget for your project *

• Yes
• No

How mush is your budget *

Are you interested in financing or paying cash?

• Finance
• Pay cash

Are you speaking with any other contractors? *

• Yes
• No

Is there a reason you haven’t already decided to work with one of the contractors you have already spoken with? *

How did you hear about TBR construction?

• Facebook
• Online
• Houzz.com
• Visit one of our project
• Other

If other *

Why do you think we are the right contractor to work with? *

Have you been through a remodeling project in the past? *

• Yes
• No

How was your expectations about the process, in general?

• Very bad
• Bad
• Good
• Very good

Will there be anyone else involved in making decisions about this project? *

• Yes
• No

Please provide the name

Are you owner *YesNo

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Name *

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Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

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